Individual
LORI HALBUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1276 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4101
(612) 384-9533
Mailing address
1276 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9928
MN
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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